OB - Module 10 Flashcards
Complications with OC’s
Oral contraceptives not for use with thrombophlebitis or strokes due to hormones
Complications with diaphragm and cervical cap
Diaphragm and cervical cap are unsafe
What are some cost effective contraceptive options?
condom and spermicide. IUD’s are cost effective over a 5 year period
Female sterilization
Bilateral tubal ligation
Male sterilization
Vasectomy - less expensive
Single rod progestin implant
action
side effects
removal
Action: Continual progestin release for 3 years
Side Effects: Irregular bleeding and bleeding between periods.
Removal: Fertility returns immediately after removal
Depo Provera
action
side effects
removal
Action: Give Progestin IM and prevents ovulation for 12 weeks
Side Effects: spotting or amenorrhea. 3% failure rate
Removal: Feritility returns in 10-18 months
What hormones are effected with oral contraceptives?
Estrogen and Progestin
What is the action of oral contraceptives?
Cause thickening of cervical mucus, block luteinizing hormone, and impair capacitation of sperm.
21 tablet OC process
Take one pill/day for 3 weeks, stop on week when menstruation occurs
28 tablet OC process
21 active tablets for 3 weeks and 7 inert tablets on the fourth week.
Seasonale OC process
84 active pills, 7 placebo tablets. Results in fewer menstrual periods and allows women to have only 4 periods per year
What are mini pills
OC pills that contain progestin but not estrogen. Has a higher risk for pregnancy
IUDs
Copper T (Paragard) And LNG-IUS (Mirena)
Failure rate of IUDs
Paragard - 0.8%
Mirena - 0.2%
